British Journal of Occupational Therapy最新文献_第9页

Research priority 8: What is the role or impact of occupational therapy in reducing hospital admissions? 研究重点8:职业治疗在减少住院率方面的作用或影响是什么?

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy

Pub Date : 2024-10-01 Epub Date: 2023-08-10 DOI: 10.1177/03080226231190311

Georgia Harding, Sarah Markham

引用次数: 0

Activities of daily living interventions on activity performance of inpatients post-stroke: A systematic review and meta-analysis. 日常生活干预对住院患者脑卒中后活动表现的影响：系统回顾和荟萃分析。

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy

Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI: 10.1177/03080226241255021

Elyse Triantis, Karen Py Liu

Introduction: Inpatient rehabilitation is the best time window to improve patient performance post-stroke. Little is known about the type and effectiveness of activity interventions. This study aims to review activities of daily living interventions and evaluate their effectiveness on activity performance for stroke inpatients.

Method: MEDLINE, Embase, CINAHL and Web of Science were searched. Randomised controlled trials investigating the effects of activities of daily living interventions for stroke inpatients were included. Two reviewers independently selected the studies and extracted data. Meta-analysis was conducted on relevant data with a random effect model with 95% CI.

Results: Fourteen randomised controlled trials involving 602 stroke inpatients, were included. Both experimental and control groups offered activities of daily living interventions. Thirteen experimental groups offered added components, such as imagery and repetitive practice. Five studies reported significant improvement in activity performance within experimental and control groups. A meta-analysis of 12 randomised controlled trials with 512 participants revealed non-significant results for activity performance between the two groups.

Conclusion: Both experimental and control groups in the included studies provided activities of daily living interventions. Added components were included in 13 out of 14 experimental groups. Meta-analysis revealed no significant difference between the two groups as they both offered activities of daily living interventions.

住院康复是提高脑卒中后患者表现的最佳时间窗口。人们对活动干预的类型和有效性知之甚少。本研究旨在回顾日常生活干预对脑卒中住院患者活动表现的影响，并评估其效果。方法：检索MEDLINE、Embase、CINAHL、Web of Science。纳入了调查日常生活干预活动对中风住院患者影响的随机对照试验。两名审稿人独立选择研究并提取数据。对相关资料采用随机效应模型进行meta分析，CI为95%。结果：纳入14项随机对照试验，涉及602例脑卒中住院患者。实验组和对照组均提供日常生活干预活动。13个实验组提供了额外的组件，如图像和重复练习。五项研究报告了实验组和对照组在活动表现上的显著改善。一项包含512名参与者的12项随机对照试验的荟萃分析显示，两组之间的运动表现没有显著结果。结论：在纳入的研究中，实验组和对照组均提供了日常生活干预活动。14个实验组中有13个添加了添加成分。荟萃分析显示两组之间没有显著差异，因为他们都提供了日常生活干预活动。

{"title":"Activities of daily living interventions on activity performance of inpatients post-stroke: A systematic review and meta-analysis.","authors":"Elyse Triantis, Karen Py Liu","doi":"10.1177/03080226241255021","DOIUrl":"10.1177/03080226241255021","url":null,"abstract":"Introduction: Inpatient rehabilitation is the best time window to improve patient performance post-stroke. Little is known about the type and effectiveness of activity interventions. This study aims to review activities of daily living interventions and evaluate their effectiveness on activity performance for stroke inpatients.Method: MEDLINE, Embase, CINAHL and Web of Science were searched. Randomised controlled trials investigating the effects of activities of daily living interventions for stroke inpatients were included. Two reviewers independently selected the studies and extracted data. Meta-analysis was conducted on relevant data with a random effect model with 95% CI.Results: Fourteen randomised controlled trials involving 602 stroke inpatients, were included. Both experimental and control groups offered activities of daily living interventions. Thirteen experimental groups offered added components, such as imagery and repetitive practice. Five studies reported significant improvement in activity performance within experimental and control groups. A meta-analysis of 12 randomised controlled trials with 512 participants revealed non-significant results for activity performance between the two groups.Conclusion: Both experimental and control groups in the included studies provided activities of daily living interventions. Added components were included in 13 out of 14 experimental groups. Meta-analysis revealed no significant difference between the two groups as they both offered activities of daily living interventions.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"87 10","pages":"598-613"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Doing, being, becoming and belonging in forging professional identity: Lived experiences of occupational therapists' professional identity currently working in physical health community roles in the UK. 做，是，成为和归属在锻造职业身份：职业治疗师的职业身份的生活经验，目前在英国的身体健康社区的角色工作。

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy

Pub Date : 2024-10-01 Epub Date: 2024-06-19 DOI: 10.1177/03080226241258714

Emily Rosalyn French, Channine Clarke

Introduction: Professional identity is a multifaceted conceptual term combining behaviours, knowledge, skills, values, beliefs, contextual and socio-cultural factors with personal and group identity. The historical underpinning of occupational therapy is partly attributed to the difficulties occupational therapists face articulating their unique identity and the profession being misunderstood by others. Little is known about how occupational therapists working in community physical health settings experience their professional identity.

Method: Interpretative phenomenological analysis was used to understand how five occupational therapists interpreted and made sense of their experiences of professional identity working in community UK physical health settings. Interviews were carried out following social media recruitment and analysed using interpretative phenomenological analysis guidance.

Findings: Participants identified that their professional identity was forged through experiences over time developing skills, confidence and their inner understanding of who they were as an occupational therapists. Maintaining a secure professional identity was attributed to building their community of practice and creating a sense of belonging.

Conclusion: Professional identity was forged through time and experience of 'doing', 'being' and 'becoming' occupational therapists. Building a community of practice and creating a sense of 'belonging' were key components of how these occupational therapists working in community physical health roles sustained their professional identity.

引言：职业认同是一个多方面的概念术语，将行为、知识、技能、价值观、信仰、背景和社会文化因素与个人和群体认同相结合。职业治疗的历史基础部分归因于职业治疗师面临的困难，阐明他们独特的身份和职业被他人误解。关于在社区身体健康机构工作的职业治疗师如何体验他们的职业身份，人们知之甚少。方法：采用解释现象学分析来了解五名职业治疗师如何解释和理解他们在英国社区身体健康机构工作的职业认同经验。访谈在社交媒体招聘后进行，并使用解释性现象学分析指导进行分析。研究发现：参与者认为，他们的职业身份是通过长期发展技能、信心和对自己作为职业治疗师的内在理解而形成的。保持一个安全的职业身份归因于建立他们的实践社区和创造归属感。结论：职业认同是通过“做”、“存在”和“成为”职业治疗师的时间和经历形成的。建立一个实践社区和创造一种“归属感”是这些从事社区身体健康工作的职业治疗师维持其职业身份的关键组成部分。

{"title":"Doing, being, becoming and belonging in forging professional identity: Lived experiences of occupational therapists' professional identity currently working in physical health community roles in the UK.","authors":"Emily Rosalyn French, Channine Clarke","doi":"10.1177/03080226241258714","DOIUrl":"https://doi.org/10.1177/03080226241258714","url":null,"abstract":"Introduction: Professional identity is a multifaceted conceptual term combining behaviours, knowledge, skills, values, beliefs, contextual and socio-cultural factors with personal and group identity. The historical underpinning of occupational therapy is partly attributed to the difficulties occupational therapists face articulating their unique identity and the profession being misunderstood by others. Little is known about how occupational therapists working in community physical health settings experience their professional identity.Method: Interpretative phenomenological analysis was used to understand how five occupational therapists interpreted and made sense of their experiences of professional identity working in community UK physical health settings. Interviews were carried out following social media recruitment and analysed using interpretative phenomenological analysis guidance.Findings: Participants identified that their professional identity was forged through experiences over time developing skills, confidence and their inner understanding of who they were as an occupational therapists. Maintaining a secure professional identity was attributed to building their community of practice and creating a sense of belonging.Conclusion: Professional identity was forged through time and experience of 'doing', 'being' and 'becoming' occupational therapists. Building a community of practice and creating a sense of 'belonging' were key components of how these occupational therapists working in community physical health roles sustained their professional identity.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"87 10","pages":"614-624"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Daily living skills in adolescents with and without language disorder, measured using the WHEEL OF INDEPENDENCETM framework 使用独立之轮框架测量有语言障碍和无语言障碍青少年的日常生活技能

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy

Pub Date : 2024-09-14 DOI: 10.1177/03080226241280732

Debbie Burridge, Lucy Hughes, Jill Titterington, Nicola Dawson, Susan Ebbels

Introduction:Developing daily living skills, such as self-care, cooking and managing money, is a key priority for adolescents with special educational needs. Previous studies investigated the emergence of daily living skills in young people with a range of neurodevelopmental conditions. However, none focused on adolescents with language disorders, including developmental language disorder.Method:Two groups of 16-year-olds participated in this study: a typically developing group ( n = 88) and a developmental language disorder group ( n = 78), which was subdivided into participants with co-occurring motor difficulties ( n = 56) versus typical motor development ( n = 22). Data were collected using the WHEEL OF INDEPENDENCE™ framework, a daily living skills measurement tool. Between-group comparisons assessed whether there were significant differences in daily living skills between typically developing and developmental language disorder participants and between those with and without motor difficulties within the developmental language disorder group.Results:Findings revealed that typically developing participants had significantly better daily living skills than the developmental language disorder group. Within the developmental language disorder group, participants with motor difficulties showed marginally significantly lower daily living skills than those without.Conclusion:Adolescents with developmental language disorder experience challenges developing their daily living skills, compared to typically developing peers. This may be compounded if they have co-occurring motor difficulties. Further research could inform understanding of the mechanisms underlying these differences in order to develop tailored and effective interventions.

导言：对于有特殊教育需求的青少年来说，培养日常生活技能（如自我照顾、烹饪和理财）是一项重点工作。以往的研究调查了患有各种神经发育障碍的青少年日常生活技能的发展情况。方法：本研究由两组 16 岁的青少年组成：发育典型组（88 人）和发育性语言障碍组（78 人），其中发育性语言障碍组又分为并发运动障碍组（56 人）和发育典型组（22 人）。数据使用日常生活技能测量工具 "独立之轮"（WHEEL OF INDEPENDENCE™）框架收集。组间比较评估了典型发育参与者和发育性语言障碍参与者之间以及发育性语言障碍组中有运动障碍和没有运动障碍的参与者之间在日常生活技能方面是否存在显著差异。结论：与发育正常的同龄人相比，患有发育性语言障碍的青少年在发展日常生活技能方面面临挑战。结论：与发育正常的同龄人相比，患有发育性语言障碍的青少年在发展日常生活技能方面面临挑战，如果他们同时伴有运动障碍，情况可能会更加复杂。进一步的研究可以帮助人们了解这些差异背后的机制，从而开发出量身定制的有效干预措施。

{"title":"Daily living skills in adolescents with and without language disorder, measured using the WHEEL OF INDEPENDENCETM framework","authors":"Debbie Burridge, Lucy Hughes, Jill Titterington, Nicola Dawson, Susan Ebbels","doi":"10.1177/03080226241280732","DOIUrl":"https://doi.org/10.1177/03080226241280732","url":null,"abstract":"Introduction:Developing daily living skills, such as self-care, cooking and managing money, is a key priority for adolescents with special educational needs. Previous studies investigated the emergence of daily living skills in young people with a range of neurodevelopmental conditions. However, none focused on adolescents with language disorders, including developmental language disorder.Method:Two groups of 16-year-olds participated in this study: a typically developing group ( n = 88) and a developmental language disorder group ( n = 78), which was subdivided into participants with co-occurring motor difficulties ( n = 56) versus typical motor development ( n = 22). Data were collected using the WHEEL OF INDEPENDENCE™ framework, a daily living skills measurement tool. Between-group comparisons assessed whether there were significant differences in daily living skills between typically developing and developmental language disorder participants and between those with and without motor difficulties within the developmental language disorder group.Results:Findings revealed that typically developing participants had significantly better daily living skills than the developmental language disorder group. Within the developmental language disorder group, participants with motor difficulties showed marginally significantly lower daily living skills than those without.Conclusion:Adolescents with developmental language disorder experience challenges developing their daily living skills, compared to typically developing peers. This may be compounded if they have co-occurring motor difficulties. Further research could inform understanding of the mechanisms underlying these differences in order to develop tailored and effective interventions.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"17 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142250703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Class of international functioning disability and health core sets for autism spectrum disorder: Occupational therapists’ perspective 自闭症谱系障碍的国际功能残疾和健康核心组类别：职业治疗师的观点

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy

Pub Date : 2024-09-10 DOI: 10.1177/03080226241280465

Betül Üstün, Onur Altuntaş

Purpose:This study was conducted to examine the ICF Core Sets prepared for autism from the perspective of occupational therapists within the scope of the International Classification of Functioning, Disability, and Health.Materials and Methods:Data were collected from 70 occupational therapists working with children diagnosed with autism spectrum disorder. Opinions of the participants were collected using the three-stage Delphi technique.Results:In the first Delphi round in which 70 occupational therapists from our country participated, a total of 2952 concepts related to autism spectrum disorder were named. The collected responses were associated with 142 ICF categories, excluding personal factors, and then the number of categories was reduced to 132 because 10 of them were mentioned by less than 5% of the respondents. While consensus was achieved in 82% of the 111 categories in the comprehensive ICF Core Sets for autism spectrum disorder .Discussion and Conclusion:According to the results of this study, ICF-CSs prepared for autism spectrum disorder overlap with the perspective of occupational therapists to define the physiological, occupational, environmental, and personal factors affecting individuals with autism spectrum disorder . The high level of consensus among occupational therapists underscores the practical applicability and acceptance of ICF Core Sets in the field.

目的：本研究在国际功能、残疾和健康分类的范围内，从职业治疗师的角度研究为自闭症准备的ICF核心集。结果：在有我国 70 名职业治疗师参加的第一轮德尔菲讨论中，共有 2952 个与自闭症谱系障碍相关的概念被命名。收集到的回答与 142 个 ICF 类别相关联（不包括个人因素），然后类别数量减少到 132 个，因为其中 10 个类别只有不到 5%的受访者提及。讨论与结论：根据本研究的结果，为自闭症谱系障碍编制的 ICF-CS 与职业治疗师定义影响自闭症谱系障碍患者的生理、职业、环境和个人因素的观点重叠。职业治疗师之间的高度一致强调了 ICF 核心内容在该领域的实际应用性和可接受性。

{"title":"Class of international functioning disability and health core sets for autism spectrum disorder: Occupational therapists’ perspective","authors":"Betül Üstün, Onur Altuntaş","doi":"10.1177/03080226241280465","DOIUrl":"https://doi.org/10.1177/03080226241280465","url":null,"abstract":"Purpose:This study was conducted to examine the ICF Core Sets prepared for autism from the perspective of occupational therapists within the scope of the International Classification of Functioning, Disability, and Health.Materials and Methods:Data were collected from 70 occupational therapists working with children diagnosed with autism spectrum disorder. Opinions of the participants were collected using the three-stage Delphi technique.Results:In the first Delphi round in which 70 occupational therapists from our country participated, a total of 2952 concepts related to autism spectrum disorder were named. The collected responses were associated with 142 ICF categories, excluding personal factors, and then the number of categories was reduced to 132 because 10 of them were mentioned by less than 5% of the respondents. While consensus was achieved in 82% of the 111 categories in the comprehensive ICF Core Sets for autism spectrum disorder .Discussion and Conclusion:According to the results of this study, ICF-CSs prepared for autism spectrum disorder overlap with the perspective of occupational therapists to define the physiological, occupational, environmental, and personal factors affecting individuals with autism spectrum disorder . The high level of consensus among occupational therapists underscores the practical applicability and acceptance of ICF Core Sets in the field.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"8 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the usefulness of real-time digitally supported fatigue monitoring in fatigue management: Perspectives from occupational therapists and brain injury survivors 探索实时数字支持疲劳监测在疲劳管理中的实用性：职业治疗师和脑损伤幸存者的观点

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy

Pub Date : 2024-09-10 DOI: 10.1177/03080226241269247

Leisle Ezekiel, Harriet Wilding, Jeremy Dearling, Johnny Collett, Helen Dawes

Introduction:Persistent fatigue after acquired brain injury (ABI) needs long-term self-management. Self-monitoring supports self-management and informs the use of fatigue management strategies. Using ecological momentary assessment to monitor fatigue offers a data-driven approach to managing fatigue.Aims:To explore the usefulness of self-monitoring fatigue in real-time, using ecological momentary assessment to support self-management, from the perspective of people with ABI and occupational therapists.Methods:People with ABI monitoried their fatigue by wearing a Fitbit and completing six surveys a day on their phone for 6 days. Think aloud and semi-structured interviews elicited views on self-monitoring and the data generated. Transcripts were analysed using reflexive thematic analysis.Results:Four themes were developed from people with ABI ( n = 9): (1) Attending to experience, (2) making sense of data, (3) the relationship between fatigue and activity, (4) implications for daily life. Three themes from occupational therapists ( n = 5): (1) Challenges of using of data, (2) perceived benefits of self-monitoring, (3) viewing data in relation to their understanding of fatigue.Conclusion:Data generated in real-time challenged perspectives on fatigue and fatigue management. These insights may help people with ABI and their clinicians to plan personalised strategies for fatigue management and evaluate its impact on daily living.

导言：后天性脑损伤（ABI）后的持续疲劳需要长期的自我管理。自我监测有助于自我管理，并为疲劳管理策略的使用提供信息。目的：从后天性脑损伤患者和职业治疗师的角度出发，探讨利用生态瞬间评估对疲劳进行实时自我监测以支持自我管理的实用性。方法：后天性脑损伤患者通过佩戴Fitbit监测自己的疲劳情况，并在6天内每天在手机上完成6次调查。通过大声思考和半结构化访谈，了解他们对自我监测和所生成数据的看法。结果：ABI 患者（9 人）提出了四个主题：(1) 关注体验，(2) 理解数据，(3) 疲劳与活动之间的关系，(4) 对日常生活的影响。职业治疗师（5 人）提出了三个主题：(结论：实时生成的数据对疲劳和疲劳管理的观点提出了挑战。这些见解可能会帮助有全身性残疾的患者及其临床医生制定个性化的疲劳管理策略，并评估其对日常生活的影响。

{"title":"Exploring the usefulness of real-time digitally supported fatigue monitoring in fatigue management: Perspectives from occupational therapists and brain injury survivors","authors":"Leisle Ezekiel, Harriet Wilding, Jeremy Dearling, Johnny Collett, Helen Dawes","doi":"10.1177/03080226241269247","DOIUrl":"https://doi.org/10.1177/03080226241269247","url":null,"abstract":"Introduction:Persistent fatigue after acquired brain injury (ABI) needs long-term self-management. Self-monitoring supports self-management and informs the use of fatigue management strategies. Using ecological momentary assessment to monitor fatigue offers a data-driven approach to managing fatigue.Aims:To explore the usefulness of self-monitoring fatigue in real-time, using ecological momentary assessment to support self-management, from the perspective of people with ABI and occupational therapists.Methods:People with ABI monitoried their fatigue by wearing a Fitbit and completing six surveys a day on their phone for 6 days. Think aloud and semi-structured interviews elicited views on self-monitoring and the data generated. Transcripts were analysed using reflexive thematic analysis.Results:Four themes were developed from people with ABI ( n = 9): (1) Attending to experience, (2) making sense of data, (3) the relationship between fatigue and activity, (4) implications for daily life. Three themes from occupational therapists ( n = 5): (1) Challenges of using of data, (2) perceived benefits of self-monitoring, (3) viewing data in relation to their understanding of fatigue.Conclusion:Data generated in real-time challenged perspectives on fatigue and fatigue management. These insights may help people with ABI and their clinicians to plan personalised strategies for fatigue management and evaluate its impact on daily living.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"7 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploration of collaborative goal setting in occupational therapy for adults with aphasia 探索在职业疗法中为成年失语症患者制定合作目标

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy

Pub Date : 2024-09-06 DOI: 10.1177/03080226241278087

Anne Escher, Arti Gandhi, Sue Berger

Introduction:Aphasia, an acquired communication disorder, often results in restrictions to participation in daily activities leading to a decline in social networks, reduced quality of life, and decreased emotional well-being. Collaborative goal setting in rehabilitation settings is an important aspect of client-centered therapy for all clients; however, it is often ignored for people with aphasia due to lack of time, limited training in communication strategies, and a negative approach toward communicating with the person with aphasia.Method:This study used qualitative descriptive methodology to explore the experience of adults with aphasia with collaborative goal setting. Through interviews and observation, authors sought to gain an understanding of the facilitators and barriers to collaborative goal setting for people with aphasia. Participants were four adults with poststroke aphasia recruited from a university Aphasia Resource Center.Findings:Findings demonstrate that the environment and a client-centered approach support goal setting while too many adaptations and limited comprehension limit goal setting.Conclusion:The authors conclude that occupational therapy practitioners should support collaborative goal setting for people with aphasia through use of aphasia-friendly goal-setting processes, including adaptations to existing goal-setting measures as appropriate.

导言：失语症是一种后天性交流障碍，通常会导致患者在参与日常活动时受到限制，从而导致社交网络减少、生活质量下降和情绪低落。方法：本研究采用定性描述的方法，探讨成年失语症患者在合作目标设定方面的经验。通过访谈和观察，作者试图了解合作式目标设定对失语症患者的促进作用和障碍。研究结果：研究结果表明，环境和以客户为中心的方法有助于目标设定，而过多的调整和有限的理解力则限制了目标设定。结论：作者得出结论，职业治疗从业者应通过使用适合失语症患者的目标设定流程，包括对现有目标设定措施进行适当调整，来支持失语症患者的合作目标设定。

{"title":"Exploration of collaborative goal setting in occupational therapy for adults with aphasia","authors":"Anne Escher, Arti Gandhi, Sue Berger","doi":"10.1177/03080226241278087","DOIUrl":"https://doi.org/10.1177/03080226241278087","url":null,"abstract":"Introduction:Aphasia, an acquired communication disorder, often results in restrictions to participation in daily activities leading to a decline in social networks, reduced quality of life, and decreased emotional well-being. Collaborative goal setting in rehabilitation settings is an important aspect of client-centered therapy for all clients; however, it is often ignored for people with aphasia due to lack of time, limited training in communication strategies, and a negative approach toward communicating with the person with aphasia.Method:This study used qualitative descriptive methodology to explore the experience of adults with aphasia with collaborative goal setting. Through interviews and observation, authors sought to gain an understanding of the facilitators and barriers to collaborative goal setting for people with aphasia. Participants were four adults with poststroke aphasia recruited from a university Aphasia Resource Center.Findings:Findings demonstrate that the environment and a client-centered approach support goal setting while too many adaptations and limited comprehension limit goal setting.Conclusion:The authors conclude that occupational therapy practitioners should support collaborative goal setting for people with aphasia through use of aphasia-friendly goal-setting processes, including adaptations to existing goal-setting measures as appropriate.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"10 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mindset and participation: Correlations among healthy children 心态与参与：健康儿童的相关性

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy

Pub Date : 2024-09-06 DOI: 10.1177/03080226241276384

Limor Rosenberg

Introduction:Mindsets are ability-related beliefs concerning the malleability of human traits such as intelligence or personality. Mindsets span a continuum between fixed and growth mindsets; they shape engagement and behavior and contribute to performance and achievements. However, children’s mindsets regarding participation in daily activities have yet to be studied. The study objectives were to explore the domain-specificity of children’s mindsets and the correlations between mindsets and participation.Methods:Sixty-six children (36 boys) aged 6–9 years ( m = 7.39 ± 0.85) completed the Kids’ Mindset Questionnaire assessing mindset regarding behavior, praxis, and literacy. Their parents completed the Children Participation Questionnaire-School.Results:Children were found to endorse growth mindsets. However, the behavior mindset score was the lowest compared to praxis and literacy mindsets ( X2 = 8.72, p = 0.013). Behavior and literacy mindsets were not correlated with participation; however, the praxis mindset was positively correlated with children’s independence and enjoyment in participation ( r = 0.29, r = 0.249, p < 0.05, respectively).Conclusions:Children tend to endorse growth mindsets; however, mindsets are domain-specific; the behavior mindset is the least malleable. Children’s beliefs regarding the malleability of praxis skills are of value for their involvement in participation. For occupational therapy practitioners, fostering children’s growth mindset can be a complementary way to promote optimal participation.

导言：思维定势是一种与能力相关的信念，涉及智力或个性等人类特质的可塑性。思维定势介于固定思维定势和成长思维定势之间；思维定势影响参与和行为，并对表现和成就做出贡献。然而，有关儿童参与日常活动的思维定势的研究尚属空白。方法：66 名 6-9 岁的儿童（36 名男孩）（m = 7.39 ± 0.85）填写了儿童心态问卷，评估了行为、实践和读写方面的心态。结果表明：儿童认可成长型思维模式。然而，与实践和读写心态相比，行为心态得分最低（X2 = 8.72，p = 0.013）。结论：儿童倾向于认可成长型思维模式；然而，思维模式是针对特定领域的；行为思维模式的可塑性最小。儿童对实践技能可塑性的信念对他们的参与具有重要价值。对于职业治疗从业者来说，培养儿童的成长心态是促进最佳参与的一种补充方式。

{"title":"Mindset and participation: Correlations among healthy children","authors":"Limor Rosenberg","doi":"10.1177/03080226241276384","DOIUrl":"https://doi.org/10.1177/03080226241276384","url":null,"abstract":"Introduction:Mindsets are ability-related beliefs concerning the malleability of human traits such as intelligence or personality. Mindsets span a continuum between fixed and growth mindsets; they shape engagement and behavior and contribute to performance and achievements. However, children’s mindsets regarding participation in daily activities have yet to be studied. The study objectives were to explore the domain-specificity of children’s mindsets and the correlations between mindsets and participation.Methods:Sixty-six children (36 boys) aged 6–9 years ( m = 7.39 ± 0.85) completed the Kids’ Mindset Questionnaire assessing mindset regarding behavior, praxis, and literacy. Their parents completed the Children Participation Questionnaire-School.Results:Children were found to endorse growth mindsets. However, the behavior mindset score was the lowest compared to praxis and literacy mindsets ( X2 = 8.72, p = 0.013). Behavior and literacy mindsets were not correlated with participation; however, the praxis mindset was positively correlated with children’s independence and enjoyment in participation ( r = 0.29, r = 0.249, p < 0.05, respectively).Conclusions:Children tend to endorse growth mindsets; however, mindsets are domain-specific; the behavior mindset is the least malleable. Children’s beliefs regarding the malleability of praxis skills are of value for their involvement in participation. For occupational therapy practitioners, fostering children’s growth mindset can be a complementary way to promote optimal participation.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"1 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occupational therapist’s involvement in social prescribing: A qualitative interview study 职业治疗师参与社会处方：定性访谈研究

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy

Pub Date : 2024-08-19 DOI: 10.1177/03080226241270520

Gemma Bradley, Beth Atkin, Helen Atkin, Jason Scott

Introduction:Social prescribing is a process of helping people to access non-medical activities to promote well-being. For occupational therapists, this is not new, although the social prescribing agenda is creating new roles around these approaches. This study aimed to explore how occupational therapists were involved in social prescribing in the United Kingdom and how they would like to contribute to future developments.Method:Semistructured interviews were carried out with 19 occupational therapists who identified they were involved in social prescribing activities.Findings:Thematic analysis led to two over-arching themes: (1) position and identity; and (2) making it work.Conclusion:Participants perceived similarity with social prescribing, leading to difficulty in positioning occupational therapy alongside this role, emotional responses and identity challenge. Points of distinction between the roles were articulated, including occupational therapy being more medical, having oversight of more complex needs and having more senior roles within teams. To manage workflow, occupational therapists delegate to social prescribing workers, although there is a lack of clarity about competence and varying involvement in supervision. Part of desired future involvement included clearer workflow, occupational therapy involvement in supervision and service development and creating legitimacy for both roles to address social determinants of health.

导言：社会处方是一个帮助人们参加非医疗活动以促进身心健康的过程。对于职业治疗师来说，这并不是什么新鲜事，尽管社会处方议程正在围绕这些方法创造新的角色。本研究旨在探讨职业治疗师如何参与英国的社会处方工作，以及他们希望如何为未来的发展做出贡献。研究方法：我们对 19 名职业治疗师进行了半结构式访谈，这些职业治疗师均表示他们参与了社会处方活动。研究结果：主题分析得出了两个首要主题：（1）定位和身份；（2）使其发挥作用。结论：参与者认为社会处方与职业治疗有相似之处，这导致他们难以将职业治疗与这一角色、情绪反应和身份挑战结合起来。与会者阐明了两种角色之间的区别点，包括职业疗法更偏重于医疗，负责监督更复杂的需求，以及在团队中担任更高级的角色。为了管理工作流程，职业治疗师将工作委托给社会处方工作者，尽管他们的能力不够明确，参与监督的情况也不尽相同。未来希望参与的部分工作包括更清晰的工作流程、职业治疗参与监督和服务发展，以及为这两种角色创造合法性，以解决健康的社会决定因素。

{"title":"Occupational therapist’s involvement in social prescribing: A qualitative interview study","authors":"Gemma Bradley, Beth Atkin, Helen Atkin, Jason Scott","doi":"10.1177/03080226241270520","DOIUrl":"https://doi.org/10.1177/03080226241270520","url":null,"abstract":"Introduction:Social prescribing is a process of helping people to access non-medical activities to promote well-being. For occupational therapists, this is not new, although the social prescribing agenda is creating new roles around these approaches. This study aimed to explore how occupational therapists were involved in social prescribing in the United Kingdom and how they would like to contribute to future developments.Method:Semistructured interviews were carried out with 19 occupational therapists who identified they were involved in social prescribing activities.Findings:Thematic analysis led to two over-arching themes: (1) position and identity; and (2) making it work.Conclusion:Participants perceived similarity with social prescribing, leading to difficulty in positioning occupational therapy alongside this role, emotional responses and identity challenge. Points of distinction between the roles were articulated, including occupational therapy being more medical, having oversight of more complex needs and having more senior roles within teams. To manage workflow, occupational therapists delegate to social prescribing workers, although there is a lack of clarity about competence and varying involvement in supervision. Part of desired future involvement included clearer workflow, occupational therapy involvement in supervision and service development and creating legitimacy for both roles to address social determinants of health.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"63 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How do family carers assist people with dementia? A qualitative observation study of daily tasks 家庭照护者如何帮助痴呆症患者？对日常工作的定性观察研究

IF 1.3 4区医学 Q3 REHABILITATION

British Journal of Occupational Therapy

Pub Date : 2024-08-19 DOI: 10.1177/03080226241267172

Julieta Camino, Ana Paula Trucco, Naoko Kishita, Eneida Mioshi, Tamara Backhouse

Introduction:As people with dementia progressively experience difficulties when performing daily tasks, family carers often become the main providers of support. Little is known about the role of carer support during task performance. Therefore, Occupational Therapy interventions are often underinformed in this area. Knowledge of how carers assist people with dementia could support Occupational Therapists in promoting participation in daily tasks. The objective was to explore how carers support people with dementia during the performance of daily tasks.Methods:A secondary analysis was conducted on observations video-recorded for the TASKed project, where people with dementia completed a task with carer support. Data were analysed using an inductive reflexive thematic analysis approach.Findings:Video recordings of 21 dyads were included in this study. Five themes were generated depicting how carers supported people with dementia during task performance: (1) person-enabled assistance, (2) goal-directed assistance, (3) carer-led assistance, (4) partnership-oriented assistance and (5) bystander.Conclusion:Our findings suggest carers employ different approaches when assisting people with dementia with daily tasks. Knowledge of these different modes of assistance could help Occupational Therapists and researchers understand what works well and what could be changed to facilitate the participation of people with dementia in daily activities.

导言：随着痴呆症患者在执行日常任务时逐渐遇到困难，家庭照护者往往成为主要的支持者。人们对照护者在完成任务过程中所起的作用知之甚少。因此，职业疗法干预措施在这方面的信息往往不足。了解照护者如何帮助痴呆症患者，可以帮助职业治疗师促进患者参与日常任务。方法：我们对 "TASKed "项目的观察录像进行了二次分析，观察了痴呆症患者在照护者的支持下完成任务的情况。研究结果：本研究包括 21 个二人组的视频记录。结论：我们的研究结果表明，照护者在协助痴呆症患者完成日常任务时采用了不同的方法。了解这些不同的协助方式有助于职业治疗师和研究人员了解哪些方式行之有效，哪些方式可以改变，以促进痴呆症患者参与日常活动。

{"title":"How do family carers assist people with dementia? A qualitative observation study of daily tasks","authors":"Julieta Camino, Ana Paula Trucco, Naoko Kishita, Eneida Mioshi, Tamara Backhouse","doi":"10.1177/03080226241267172","DOIUrl":"https://doi.org/10.1177/03080226241267172","url":null,"abstract":"Introduction:As people with dementia progressively experience difficulties when performing daily tasks, family carers often become the main providers of support. Little is known about the role of carer support during task performance. Therefore, Occupational Therapy interventions are often underinformed in this area. Knowledge of how carers assist people with dementia could support Occupational Therapists in promoting participation in daily tasks. The objective was to explore how carers support people with dementia during the performance of daily tasks.Methods:A secondary analysis was conducted on observations video-recorded for the TASKed project, where people with dementia completed a task with carer support. Data were analysed using an inductive reflexive thematic analysis approach.Findings:Video recordings of 21 dyads were included in this study. Five themes were generated depicting how carers supported people with dementia during task performance: (1) person-enabled assistance, (2) goal-directed assistance, (3) carer-led assistance, (4) partnership-oriented assistance and (5) bystander.Conclusion:Our findings suggest carers employ different approaches when assisting people with dementia with daily tasks. Knowledge of these different modes of assistance could help Occupational Therapists and researchers understand what works well and what could be changed to facilitate the participation of people with dementia in daily activities.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"114 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0